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Editorials |

The Diagnostic Dilemma in Suspected Ventilator-Associated Pneumonia : One Size Will Never Fit All

Grant W. Waterer, MD, FCCP
Author and Funding Information

Affiliations: Perth, Western Australia
 ,  Dr. Waterer is Senior Lecturer in Medicine, University of Western Australia, Royal Perth Hospital.

Correspondence to: Grant Waterer, MD, FCCP, University of Western Australia, Royal Perth Hospital, GPO Box X2213, Perth 6847, Western Australia; e-mail: waterer@cyllene.uwa.edu.au



Chest. 2003;123(2):335-337. doi:10.1378/chest.123.2.335
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Extract

There is no doubt that the best diagnostic strategy in patients with suspected ventilator-associated pneumonia (VAP) remains contentious. The central problem is the difficulty in striking a balance between avoiding a delay in starting antibiotics when they are required and reducing inappropriate use of broad-spectrum antibiotics. Failure to achieve the first goal leads to excess mortality,13 while failure to achieve the second is a major factor in the seemingly inexorable increase in multiantibiotic-resistant pathogens with their attendant morbidity, mortality, and economic costs.

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